Meduloblastoma é o tumor intracranial mais comum em crianças, provavelmente derivado de células precursoras da camada granular externa do cerebelo durante seu desenvolvimento. O tratamento padrão consiste em cirurgia, radioterapia e quimioterapia, que produzem graves sequelas nos pacientes e garantem uma sobrevida baixa, o que demonstra a necessidade de novas alternativas terapêuticas para a doença. Evidências demonstram que o receptor do peptídeo liberador de gastrina (GRPR) está superexpresso em diversos tumores humanos, assim como seu agonista (GRP) pode atuar como um fator de crescimento autócrino em tumores cerebrais. No presente estudo, avaliamos a expressão de GRPR e o efeito de seus agonistas, bombesina (BB) e GRP, além do antagonista RC-3095, sobre a viabilidade celular de linhagens de meduloblastoma humano DAOY, D283 e ONS76. Mostramos que meduloblastomas, apesar de expressarem GRPR, não têm sua viabilidade celular afetada por agonistas e antagonista desse receptor. Uma vez que há evidências de que BDNF (fator neurotrófico derivado de cérebro) esteja relacionado à diferenciação celular em meduloblastomas, também avaliamos o efeito de BDNF sobre a viabilidade celular das linhagens de meduloblastoma humano. As linhagens DAOY e D283 tiveram sua viabilidade celular reduzida pela presença de BDNF. Uma vez que a via da PKA tem sido implicada na iniciação e progressão de vários tumores, também avaliamos o efeito de rolipram, um inibidor de fosfodiesterase tipo IV, sobre a viabilidade celular das linhagens de meduloblastoma humano, sendo que rolipram reduziu a viabilidade celular de todas as linhagens estudadas. Os receptores de BDNF e a via da PKA podem, portanto, ser alvos moleculares promissores para o desenvolvimento de novas terapias para meduloblastomas. / Medulloblastoma is the most common intracranial tumor in children and is believed to arise from the precursor cells of the external granule layer of the developing cerebellum. The standard treatment, consisting of surgery, craniospinal radiotherapy and chemotherapy, produces severe sequelae in patients and provides a poor overall survival, indicating the need for new therapeutic alternatives for treating this disease. Evidences show that the gastrin releasing peptide receptor (GRPR) is overexpressed in various human tumors and its agonist (GRP) can act as an autocrine growth factor in brain tumors. In the present study, we evaluated GRPR expression, as well as the effect of its agonists, bombesin (BB) and GRP, and its antagonist RC-3095, over cell viability of the human medulloblastoma cell lines DAOY, D283 and ONS76. We found that medulloblastomas, in spite of expressing GRPR, do not have its viability affected by the presence of agonists and antagonist of this receptor. Since there are evidences that BDNF (brain-derived neurotrophic factor) is related to cell differentiation in medulloblastomas, we also evaluated the effect of BDNF over the viability of medulloblastoma cell lines. The viability of the cell lines DAOY and D283 was reduced by the presence of BDNF. Since the PKA pathway has been implicated in the initiation and progression of various tumors, we also evaluated the effect of rolipram, a phosphodiesterase IV inhibitor, over the viability of the same medulloblastoma cell lines and we found that rolipram inhibited the viability of all the cell lines studied. BDNF receptors, as well as the PKA pathway, may be therefore promising molecular targets for the development of new therapies for treating medulloblastomas.

A lesão de isquemia e reperfusão pulmonar (LIRI) é a principal causa de disfunção precoce do enxerto após o transplante pulmonar. Diferentes substâncias têm sido utilizadas na tentativa de proteger o pulmão na fase inicial pós-transplante e melhorar o desempenho do enxerto com pouco resultado tanto a curto quanto em longo prazo. O peptídeo liberador gastrina (GRP) está envolvido na indução de respostas imunes inatas adaptativas por induzir a quimiotaxia de mastócitos, migração de macrófagos e proliferação de células T e fibroblastos. Este agente foi capaz de proteger o dano tecidual em outros modelos experimentais de inflamação, incluindo sepsis pós-isquemia e perfuração de ceco, artrite e colite induzidos por drogas. O efeito protetor foi atribuído ao bloqueio na liberação de citocinas pró-inflamatórias, como da interleucina -1 beta (IL-1G) e TNF- alfa (TNF-H), e inibição de migração de mononucleares. Nesta tese o efeito protetor do antagonista do receptor de peptídeo liberador de gastrina (GRPR), o RC-3095 (RC) endovenosamente administrado antes e depois da reperfusão foi estudado em modelo animal de LIRI. Vinte ratos Wistar foram randomizados em quatro grupos: (SHAM), Isquemia-reperfusão (IR), administração de RC Pré-IR (RC-Pré) e RC Pós-IR (RC-Pós). Após a reperfusão, os animais foram observados por 120 minutos. Foi realizada a análise histológica, com verificação de escala de lesão pulmonar, e imunohistoquímica para Caspase clivada - 9 e oxido nítrico sintetase endotelial (eNOS). Expressão de IL-1G e TNF-H foram quantificadas por Enzime-Linked Immunosorbent Assay (ELISA). Uma redução significativa na pressão arterial média foi observada nos grupos IR e RC - Pré quando comparado com seus valores antes da reperfusão (p < 0.001). No final do experimento o grupo RC-Pós apresentou uma redução significativa na pressão arterial de oxigênio em relação ao início (p=0.005). Observou-se maior expressão de Caspase - 9 clivada no grupo RC-Pós (p>0.013), quando comparado aos demais grupos. Não houve diferença significativa na captação da eNOS entre os grupos (p=0.206). Os grupos RC - Pré e Pós mostraram discreta redução, não atingindo significância estatística, da IL-1G (p=0.159) e TNF- H (p= 0.260), quando comparado com o grupo IR. Não houve diferença estatística entre as médias dos escores histológicos entre os diferentes grupos. e SHAM. Notavelmente, quando administrado após reperfusão parece potencializar dano celular estimulando a apoptose. Concluindo, a utilização do antagonista do peptídeo liberador de gastrina, RC-3095, não produziu efeito protetor significativo na resposta inflamatória em pulmões de ratos. Estudos adicionais devem ser implementados para confirmar estes achados. / Lung ischemia reperfusion injury (LIRI) is the main cause of early graft dysfunction and death after lung transplantation. Several methods and substances have been used as an attempt to protect the lung during the early phase after transplantation and improve graft performance at short and long term with limited results. The selective gastrin-releasing peptide receptor (GRPR) antagonist RC-3095 (RC) was shown to protect from damage in various models of inflammation, including sepsis due to cecal ischemia and perforation, drug-induced arthritis and colitis, probably due to the inhibition in the release of proinflammatory cytokines, such as interleukin-1-beta and TNFalpha, as well as interference with mononuclear migration. In this thesis, the protective effect of the selective gastrin-releasing peptide receptor (GRPR) antagonist RC-3095, administrated intravenous before and after reperfusion was studied in an animal model of LIRI. A total of 20 Wistar rats were randomized in four groups: (SHAM), Ischemia-reperfusion (IR), RC Pre-IR (RCPre) and the RC Post-IR (RC-Post) .The IR groups were submitted to a model of ischemia/reperfusion by clamping of the left pulmonary hilum for 45 minutes followed by reperfusion for 120 minutes. We recorded the hemodynamic parameters, blood gas analysis and histology. We analyzed Cleaved Caspase- 9 and endothelial nitric oxide synthase (eNOS) by immunohistochemistry. Expression of IL-1G and TNF-H was evaluated by Enzyme-Linked Immunosorbent Assay (ELISA). We observed that the final mean arterial pressure significantly decreased in IR and RC Pre-IR compared to their values before reperfusion (p < 0.001).The RC-Post group showed significant decrease of partial pressure of arterial oxygen at the end of the observation compared to baseline (p=0.005). Caspase-9 activity was significantly higher in the RC-Post- IR as compared to the other groups (p < 0.013). No significant differences were observed of eNOS activity among the groups. The groups RC Pre-IR e RC Post-IR did not show a significant decrease of IL-1G (p=0.159) and TNF-H (p= 0.260), as compared to IR. The histological score showed no significant differences among the groups. Notably, its use after reperfusion seems to potentiate cell damage, stimulating apoptosis In conclusion, RC3095, a selective GRPR antagonist failed to demonstrate a significant protective effect in our LIRI model in male Wistar rats. Further studies to address this question are warranted.

Introdução e objetivo: Gastrin-releasing peptide (GRP) está envolvido em diversas funções cerebrais e gastrointestinais, incluindo secreção pancreática, liberação de hormônios peptídeos gastrointestinais e redução da ingestão alimentar. O objetivo deste estudo é testar os efeitos da injeção intraperitoneal do antagonista do receptor GRP sobre o peso, ingestão alimentar, parâmetros metabólicos e bioquímicos e composição corporal. Métodos: Foram utilizados 35 ratos Wistar adultos jovens, submetidos a uma perda ponderal mínima de 7%, divididos em quatro grupos: Grupo Controle (G0) que recebeu injeção de solução salina; Grupo 1 (G1) que recebeu 0,1 mg/kg de RC-3095; Grupo 2 (G2) que recebeu 0,3 mg/kg de RC-3095 e Grupo 3 (G3) que recebeu 1,0 mg/kg de RC-3095 durante 14 dias. Resultados: A variação da média diária de ingestão alimentar foi estatisticamente diferente entre os grupos (F: 3,139; df: 3; P = 0,039) e o G2, que recebeu a dose intermediária de 0,3 mg/kg de RC-3095, mostrou uma ingestão alimentar maior do que o G0 (P = 0,041). Houve um aumento similar do peso, de aproximadamente 22% (F: 0,572; df: 3; P = 0,638), assim como uma média de peso similar dos animais (F: 1,145; df: 9,685; P = 0,338) entre os grupos durante o período do estudo. Porém, a média de peso do G2 foi mais alta do que a média de peso dos animais do G0 (P = 0,042). Ao final do estudo, nenhuma diferença foi observada entre os grupos no total de massa magra ou de massa gorda da carcaça, fígado e pele dos animais. Comparando os níveis séricos de albumina, amilase, glicose, colesterol total, HDL-colesterol e interleucina-6 do Dia 1 (D1) para o Dia 14 (D14), não houve diferença estatisticamente relevante entre os grupos. Entretanto, o nível médio de triglicerídeos no G2 mostrou um aumento maior quando comparado ao G0 (P = 0,038). Conclusões: Neste estudo, a injeção da dose intermediária do antagonista do receptor GRP, o RC-3095 (0,3 mg/kg/dia), em ratos Wistar adultos jovens saudáveis submetidos a perda ponderal, interferiu na ingestão alimentar e no peso médio. Nenhum efeito sobre o ganho de peso, composição corporal ou parâmetros metabólicos e bioquímicos foi observado, exceto um aumento maior do nível sérico de triglicerídeos. Estes resultados demonstram alguns dos efeitos fisiológicos do GRP sobre a ingestão alimentar e peso, ampliando possibilidades de futuros estudos sobre fome, saciedade e metabolismo de macronutrientes ou em animais submetidos a uma condição de estresse maior, como o câncer. / Introduction and Objective: Gastrin-releasing peptide (GRP) is involved in several brain and gastrointestinal functions, including pancreatic secretion, gastrointestinal peptide hormone release, and reduction of food intake. We tested the effects of an intraperitoneal injection of the GRP receptor (GRPR) antagonist RC-3095 on weight, food intake, biochemical metabolic parameters, and body composition. Methods: Thirty-five young adult male Wistar rats, submitted to a minimal weight loss of 7%, were divided into four groups: the control group (G0) received saline; Group 1 (G1) received 0.1 mg/kg RC-3095; Group 2 (G2) received 0.3 mg/kg RC-3095; and Group 3 (G3) received 1.0 mg/kg RC-3095 for 14 days. Results: The mean daily variation of food intake was statistically different between the groups (F: 3.139; df: 3; P = 0.039); and G2, which received the intermediate dose of 0.3 mg/kg RC-3095, showed a greater food intake than G0 (P = 0.041). There was a similar increase in weight, approximately 22% (F: 0.572; df: 3; P = 0.638), as well as a similar mean animal weight (F: 1.145; df: 9.685; P = 0.338) between the groups during the study period. However, the mean weight of G2 animals was more than the mean weight of G0 animals (P = 0.042). At the end of the study, no difference was observed between the groups in terms of the total lean mass or fat mass from the rat carcass, liver, and skin. Comparing the serum levels of albumin, amylase, glucose, total cholesterol, high-density lipoprotein (HDL) cholesterol, and interleukin (IL)-6 from day 1 (D1) to D14, there were no statistically relevant differences between the groups. However, the mean triglyceride level in G2 compared to G0 showed a greater increase (P = 0.038). Conclusion: In this study, the injection of an intermediate dose of GRPR antagonist RC- 3095 (0.3 mg/kg/day) into healthy young adult Wistar rats submitted to weight loss affected food intake and the mean weight. No effects on weight gain, body composition, or biochemical metabolic parameters were observed, except for a great increase in the serum triglyceride levels. These results demonstrate some physiological effects of GRP on food intake and weight, expanding the possibilities of future studies on hunger/satiety and macronutrient metabolism as well as highly stressful conditions like cancer.

A lesão de isquemia e reperfusão pulmonar (LIRI) é a principal causa de disfunção precoce do enxerto após o transplante pulmonar. Diferentes substâncias têm sido utilizadas na tentativa de proteger o pulmão na fase inicial pós-transplante e melhorar o desempenho do enxerto com pouco resultado tanto a curto quanto em longo prazo. O peptídeo liberador gastrina (GRP) está envolvido na indução de respostas imunes inatas adaptativas por induzir a quimiotaxia de mastócitos, migração de macrófagos e proliferação de células T e fibroblastos. Este agente foi capaz de proteger o dano tecidual em outros modelos experimentais de inflamação, incluindo sepsis pós-isquemia e perfuração de ceco, artrite e colite induzidos por drogas. O efeito protetor foi atribuído ao bloqueio na liberação de citocinas pró-inflamatórias, como da interleucina -1 beta (IL-1G) e TNF- alfa (TNF-H), e inibição de migração de mononucleares. Nesta tese o efeito protetor do antagonista do receptor de peptídeo liberador de gastrina (GRPR), o RC-3095 (RC) endovenosamente administrado antes e depois da reperfusão foi estudado em modelo animal de LIRI. Vinte ratos Wistar foram randomizados em quatro grupos: (SHAM), Isquemia-reperfusão (IR), administração de RC Pré-IR (RC-Pré) e RC Pós-IR (RC-Pós). Após a reperfusão, os animais foram observados por 120 minutos. Foi realizada a análise histológica, com verificação de escala de lesão pulmonar, e imunohistoquímica para Caspase clivada - 9 e oxido nítrico sintetase endotelial (eNOS). Expressão de IL-1G e TNF-H foram quantificadas por Enzime-Linked Immunosorbent Assay (ELISA). Uma redução significativa na pressão arterial média foi observada nos grupos IR e RC - Pré quando comparado com seus valores antes da reperfusão (p < 0.001). No final do experimento o grupo RC-Pós apresentou uma redução significativa na pressão arterial de oxigênio em relação ao início (p=0.005). Observou-se maior expressão de Caspase - 9 clivada no grupo RC-Pós (p>0.013), quando comparado aos demais grupos. Não houve diferença significativa na captação da eNOS entre os grupos (p=0.206). Os grupos RC - Pré e Pós mostraram discreta redução, não atingindo significância estatística, da IL-1G (p=0.159) e TNF- H (p= 0.260), quando comparado com o grupo IR. Não houve diferença estatística entre as médias dos escores histológicos entre os diferentes grupos. e SHAM. Notavelmente, quando administrado após reperfusão parece potencializar dano celular estimulando a apoptose. Concluindo, a utilização do antagonista do peptídeo liberador de gastrina, RC-3095, não produziu efeito protetor significativo na resposta inflamatória em pulmões de ratos. Estudos adicionais devem ser implementados para confirmar estes achados. / Lung ischemia reperfusion injury (LIRI) is the main cause of early graft dysfunction and death after lung transplantation. Several methods and substances have been used as an attempt to protect the lung during the early phase after transplantation and improve graft performance at short and long term with limited results. The selective gastrin-releasing peptide receptor (GRPR) antagonist RC-3095 (RC) was shown to protect from damage in various models of inflammation, including sepsis due to cecal ischemia and perforation, drug-induced arthritis and colitis, probably due to the inhibition in the release of proinflammatory cytokines, such as interleukin-1-beta and TNFalpha, as well as interference with mononuclear migration. In this thesis, the protective effect of the selective gastrin-releasing peptide receptor (GRPR) antagonist RC-3095, administrated intravenous before and after reperfusion was studied in an animal model of LIRI. A total of 20 Wistar rats were randomized in four groups: (SHAM), Ischemia-reperfusion (IR), RC Pre-IR (RCPre) and the RC Post-IR (RC-Post) .The IR groups were submitted to a model of ischemia/reperfusion by clamping of the left pulmonary hilum for 45 minutes followed by reperfusion for 120 minutes. We recorded the hemodynamic parameters, blood gas analysis and histology. We analyzed Cleaved Caspase- 9 and endothelial nitric oxide synthase (eNOS) by immunohistochemistry. Expression of IL-1G and TNF-H was evaluated by Enzyme-Linked Immunosorbent Assay (ELISA). We observed that the final mean arterial pressure significantly decreased in IR and RC Pre-IR compared to their values before reperfusion (p < 0.001).The RC-Post group showed significant decrease of partial pressure of arterial oxygen at the end of the observation compared to baseline (p=0.005). Caspase-9 activity was significantly higher in the RC-Post- IR as compared to the other groups (p < 0.013). No significant differences were observed of eNOS activity among the groups. The groups RC Pre-IR e RC Post-IR did not show a significant decrease of IL-1G (p=0.159) and TNF-H (p= 0.260), as compared to IR. The histological score showed no significant differences among the groups. Notably, its use after reperfusion seems to potentiate cell damage, stimulating apoptosis In conclusion, RC3095, a selective GRPR antagonist failed to demonstrate a significant protective effect in our LIRI model in male Wistar rats. Further studies to address this question are warranted.

Introdução e objetivo: Gastrin-releasing peptide (GRP) está envolvido em diversas funções cerebrais e gastrointestinais, incluindo secreção pancreática, liberação de hormônios peptídeos gastrointestinais e redução da ingestão alimentar. O objetivo deste estudo é testar os efeitos da injeção intraperitoneal do antagonista do receptor GRP sobre o peso, ingestão alimentar, parâmetros metabólicos e bioquímicos e composição corporal. Métodos: Foram utilizados 35 ratos Wistar adultos jovens, submetidos a uma perda ponderal mínima de 7%, divididos em quatro grupos: Grupo Controle (G0) que recebeu injeção de solução salina; Grupo 1 (G1) que recebeu 0,1 mg/kg de RC-3095; Grupo 2 (G2) que recebeu 0,3 mg/kg de RC-3095 e Grupo 3 (G3) que recebeu 1,0 mg/kg de RC-3095 durante 14 dias. Resultados: A variação da média diária de ingestão alimentar foi estatisticamente diferente entre os grupos (F: 3,139; df: 3; P = 0,039) e o G2, que recebeu a dose intermediária de 0,3 mg/kg de RC-3095, mostrou uma ingestão alimentar maior do que o G0 (P = 0,041). Houve um aumento similar do peso, de aproximadamente 22% (F: 0,572; df: 3; P = 0,638), assim como uma média de peso similar dos animais (F: 1,145; df: 9,685; P = 0,338) entre os grupos durante o período do estudo. Porém, a média de peso do G2 foi mais alta do que a média de peso dos animais do G0 (P = 0,042). Ao final do estudo, nenhuma diferença foi observada entre os grupos no total de massa magra ou de massa gorda da carcaça, fígado e pele dos animais. Comparando os níveis séricos de albumina, amilase, glicose, colesterol total, HDL-colesterol e interleucina-6 do Dia 1 (D1) para o Dia 14 (D14), não houve diferença estatisticamente relevante entre os grupos. Entretanto, o nível médio de triglicerídeos no G2 mostrou um aumento maior quando comparado ao G0 (P = 0,038). Conclusões: Neste estudo, a injeção da dose intermediária do antagonista do receptor GRP, o RC-3095 (0,3 mg/kg/dia), em ratos Wistar adultos jovens saudáveis submetidos a perda ponderal, interferiu na ingestão alimentar e no peso médio. Nenhum efeito sobre o ganho de peso, composição corporal ou parâmetros metabólicos e bioquímicos foi observado, exceto um aumento maior do nível sérico de triglicerídeos. Estes resultados demonstram alguns dos efeitos fisiológicos do GRP sobre a ingestão alimentar e peso, ampliando possibilidades de futuros estudos sobre fome, saciedade e metabolismo de macronutrientes ou em animais submetidos a uma condição de estresse maior, como o câncer. / Introduction and Objective: Gastrin-releasing peptide (GRP) is involved in several brain and gastrointestinal functions, including pancreatic secretion, gastrointestinal peptide hormone release, and reduction of food intake. We tested the effects of an intraperitoneal injection of the GRP receptor (GRPR) antagonist RC-3095 on weight, food intake, biochemical metabolic parameters, and body composition. Methods: Thirty-five young adult male Wistar rats, submitted to a minimal weight loss of 7%, were divided into four groups: the control group (G0) received saline; Group 1 (G1) received 0.1 mg/kg RC-3095; Group 2 (G2) received 0.3 mg/kg RC-3095; and Group 3 (G3) received 1.0 mg/kg RC-3095 for 14 days. Results: The mean daily variation of food intake was statistically different between the groups (F: 3.139; df: 3; P = 0.039); and G2, which received the intermediate dose of 0.3 mg/kg RC-3095, showed a greater food intake than G0 (P = 0.041). There was a similar increase in weight, approximately 22% (F: 0.572; df: 3; P = 0.638), as well as a similar mean animal weight (F: 1.145; df: 9.685; P = 0.338) between the groups during the study period. However, the mean weight of G2 animals was more than the mean weight of G0 animals (P = 0.042). At the end of the study, no difference was observed between the groups in terms of the total lean mass or fat mass from the rat carcass, liver, and skin. Comparing the serum levels of albumin, amylase, glucose, total cholesterol, high-density lipoprotein (HDL) cholesterol, and interleukin (IL)-6 from day 1 (D1) to D14, there were no statistically relevant differences between the groups. However, the mean triglyceride level in G2 compared to G0 showed a greater increase (P = 0.038). Conclusion: In this study, the injection of an intermediate dose of GRPR antagonist RC- 3095 (0.3 mg/kg/day) into healthy young adult Wistar rats submitted to weight loss affected food intake and the mean weight. No effects on weight gain, body composition, or biochemical metabolic parameters were observed, except for a great increase in the serum triglyceride levels. These results demonstrate some physiological effects of GRP on food intake and weight, expanding the possibilities of future studies on hunger/satiety and macronutrient metabolism as well as highly stressful conditions like cancer.

Targeted radionuclide therapy is becoming a widely used cancer treatment strategy. By radiolabeling receptor-specific peptides, cancer cells overexpressing the receptor can be selectively targeted, and the cytotoxic radionuclide can be delivered to the target cell or tissue for therapeutic or diagnostic purposes. Bombesin analogues have been previously developed and utilized to target the gastrin-releasing peptide receptor (GRPR), a receptor commonly overexpressed in prostate cancer cells. The RM26 analogue derived from the native bombesin is an antagonistic ligand of GRPR and a possible candidate for targeted radiotherapy. Prolonging the half-life of the molecule is an important aspect of developing a new protein therapeutic. Using albumin binding domain (ABD) for this purpose is an emerging strategy in recent years. ABD is able to bind to serum albumin and thus remains in the blood circulation for a long period of time. It is also a scaffold for protein engineering efforts and by coupling receptor-specific ligands to ABD, the target-specific binding along with extended in vivo halflife can be achieved. In this project, an RM26 analogue with a PEG linker and ABD with a DOTA chelator for future radiolabeling were synthesized with solid phase peptide synthesis (SPPS), conjugated, purified by RP-HPLC and analyzed by mass spectrometry. The binding properties of the conjugate were evaluated by SPR-based biosensory studies, and further experiments are planned for the testing the product and its potential application in radionuclide therapy. / Riktad radioterapi är en allt vanligare metod för behandling av cancer. Genom att radioinmärka receptor-specifika peptider kan dessa selektivt levereras till tumörceller som uttrycker receptorn. Radioterapi kan användas för diagnostik eller terapi, beroende på kopplad radionuklid. Bombesinanaloger har utvecklats och använts för att selektivt binda gastrinfrisättande peptidreceptor (gastrin-releasing peptide receptor, GRPR), en receptor som ofta är överuttryckt i prostatacancer. Bombesinanalogen RM26, som har sitt ursprung från nativt bombesin, är en antagonist till GRPR och kan möjligen användas för riktad radioterapi av prostatacancer. Vid utvecklingen av nya proteinläkemedel är halveringstiden i serum en viktig aspekt. En nyligen utvecklad strategi för att förlänga halveringstiden i serum är fusion av det  tumörspecifika proteinet till en albumin-bindande domän (ABD). ABD binder till albumin, ochsåledes kan fusionsproteinet bevaras i blodcirkulationen under en längre tid. I detta projekt, har både RM26 med en PEG-linker, och ABD med en DOTA kelator syntetiserats med fastfaspeptidsyntes (solid phase peptide synthesis, SPPS). RM26-PEG och DOTA-ABD har därefter konjugerats, renats med RP-HPLC och analyserats med massspektrometri. Bindning till albumin har utvärderats med ytplasmonresonans (surface plasmon resonance, SPR). Vidare studier planeras för att utvärdera peptid-proteinkonjugatet och dess potential för riktad radioterapi.

Les médicaments radiopharmaceutiques ciblant les récepteurs peptidiques tels que les analogues de la somatostatine ont un réel potentiel et un fort intérêt pour à la fois le diagnostic et le traitement des tumeurs neuroendocrines (TNE) non-opérables, par radiothérapie interne vectorisée (RIV). La toxicité des traitements par radiopeptides analogues de la somatostatine limite leur développement clinique. Le développement de nouveaux peptides ciblant d'autres types de récepteurs tels que le ceux de la cholécystokinine (CCK) est une solution dont l'intérêt a été montré par les travaux de notre équipe, basés sur un analogue CCK novateur. Ce travail en trois volets décrit dans un premier temps le radiomarquage de l'analogue CCK, par des radionucléides émetteurs - tels que l'yttrium 90 et le lutétium 177 adaptés à la thérapie, en plus de l'indium 111 pour le diagnostic, les capacités de complexation et la stabilité de ce nouvel analogue peptidique CCK. Une étude in vivo préliminaire sur modèle murin a permis d'étudier la faisabilité d'un traitement de RIV. Une troisième étude a été réalisée in vitro sur deux lignées cellulaires tumorales par le traitement à l'aide d'une molécule antitumorale caractérisée dans notre équipe, à travers la réexpression d'une voie de signalisation cellulaire. Ce travail a permis de montrer l'intérêt potentiel de l'utilisation des analogues CCK en RIV en association thérapeutique pour la prise en charge de certaines TNE. / Les médicaments radiopharmaceutiques ciblant les récepteurs peptidiques tels que les analogues de la somatostatine ont un réel potentiel et un fort intérêt pour à la fois le diagnostic et le traitement des tumeurs neuroendocrines (TNE) non-opérables, par radiothérapie interne vectorisée (RIV). La toxicité des traitements par radiopeptides analogues de la somatostatine limite leur développement clinique. Le développement de nouveaux peptides ciblant d'autres types de récepteurs tels que le ceux de la cholécystokinine (CCK) est une solution dont l'intérêt a été montré par les travaux de notre équipe, basés sur un analogue CCK novateur. Ce travail en trois volets décrit dans un premier temps le radiomarquage de l'analogue CCK, par des radionucléides émetteurs - tels que l'yttrium 90 et le lutétium 177 adaptés à la thérapie, en plus de l'indium 111 pour le diagnostic, les capacités de complexation et la stabilité de ce nouvel analogue peptidique CCK. Une étude in vivo préliminaire sur modèle murin a permis d'étudier la faisabilité d'un traitement de RIV. Une troisième étude a été réalisée in vitro sur deux lignées cellulaires tumorales par le traitement à l'aide d'une molécule antitumorale caractérisée dans notre équipe, à travers la réexpression d'une voie de signalisation cellulaire. Ce travail a permis de montrer l'intérêt potentiel de l'utilisation des analogues CCK en RIV en association thérapeutique pour la prise en charge de certaines TNE.

Die Expansion des renalen Tubulointerstitiums aufgrund einer Akkumulation zellulärer Bestandteile und extrazellulärer Matrix ist eine charakteristische Eigenschaft der chronischen Nierenerkrankung (CKD) und führt zu einer Progression der Erkrankung in Richtung eines terminalen Nierenversagens. Die Fibroblasten Proliferation und ihre Transformation hin zum sekretorischen Myofibroblasten-Phänotyp stellen hierbei Schlüsselereignisse dar. Signalprozesse, die zur Induktion der Myofibroblasten führen, werden aktiv beforscht um anti-fibrotische Therapieansätze zu identifizieren. Das anti-inflammatorische Protein Annexin A1 und sein Rezeptor Formyl-Peptid Rezeptor 2 (FPR2) wurden in verschiedenen Organsystemen mit der Regulation von Fibroblastenaktivität in Verbindung gebracht, jedoch wurden ihre Expression und Funktion bei renalen fibrotischen Erkrankungen bisher nicht untersucht. Ziel der aktuellen Studie war daher die Untersuchung der renalen Annexin A1- und FPR2-Expression in einem Tiermodell des chronischen Nierenversagens, sowie die Charakterisierung der funktionellen Rolle von Annexin A1 in der Regulation des Fibroblasten Phänotyps und ihrer Syntheseleistung. Dazu wurden neugeborene Sprague-Dawley Ratten in den ersten zwei Wochen ihres Lebens entweder mit Vehikel oder mit einem Angiotensin II Typ I Rezeptor Antagonisten behandelt und ohne weitere Intervention bis zu einem Alter von 11 Monaten (CKD Ratten) gehalten. Die Regulation und Lokalisation von Annexin A1 und FPR2 wurden mit Hilfe von Real-Time PCR und Immunhistochemie erfasst. Annexin A1- und FPR2-exprimierende Zellen wurden weiter durch Doppelimmunfluoreszenzfärbungen charakterisiert. Gefärbt wurde mit Antikörpern gegen endotheliale Zellen (rat endothelial cell antigen), Makrophagen (CD 68), Fibroblasten (CD73) und Myofibroblasten (alpha-smooth muscle actin (α-sma)). Zellkulturstudien wurden an immortalisierten renalen kortikalen Fibroblasten aus Wildtyp- und Annexin A1-defizienten Mäusen, sowie an etablierten humanen und murinen renalen Fibrolasten durchgeführt. Eine Überexpression von Annexin A1 wurde durch eine stabile Transfektion erreicht. Die Expression von Annexin A1, α-sma und Kollagen 1α1 wurde durch Real-Time PCR, Western Blot und Immuhistochemie erfasst. Die Sekretion des Annexin A1 Proteins wurde nach TCA-Fällung des Zellkulturüberstandes im Western Blot untersucht. Wie zu erwarten zeigten die CKD Ratten eine geringere Anzahl an Nephronen mit deutlicher glomerulären Hypertrophie. Der tubulointerstitielle Raum war durch fibrilläres Kollagen, aktivierte Fibroblasten und inflammatorische Zellen expandiert. Parallel dazu war die mRNA Expression von Annexin A1 und Transforming growth factor beta (TGF-β) signifikant erhöht. Die Annexin A1-Lokalisation mittels Doppelimmunfluorsezenz identifizierte eine große Anzahl von CD73-positiven kortikalen Fibroblasten und eine Subpopulation von Makrophagen als Annexin A1-positiv. Die Annexin A1-Menge in Myofibroblasten und renalen Endothelien war gering. FPR2 konnte in der Mehrzahl der renalen Fibroblasten, in Myofibroblasten, in einer Subpopulation von Makrophagen und in renalen Epithelzellen nachgewiesen werden. Eine Behandlung der murinen Fibroblasten mit dem pro-fibrotischen Zytokin TGF-β führte zu einem parallelen Anstieg der α-sma-, Kollagen 1α1- und Annexin A1-Biosynthese und zu einer gesteigerten Sekretion von Annexin A1. Eine Überexpression von Annexin A1 in murinen Fibroblasten reduzierte das Ausmaß der TGF-β induzierten α-sma- und Kollagen 1α1-Biosynthese. Fibroblasten aus Annexin A1-defizienten Mäusen zeigten einen starken Myofibroblasten-Phänotyp mit einer gesteigerten Expression an α-sma und Kollagen 1α1. Der Einsatz eines Peptidantagonisten des FPR2 (WRW4) resultierte in einer Stimulation der α-sma-Biosynthese, was die Vermutung nahe legte, dass Annexin A1 FPR2-vermittelt anti-fibrotische Effekte hat. Zusammenfassend zeigen diese Ergebnisse, dass renale kortikale Fibroblasten eine Hauptquelle des Annexin A1 im renalen Interstitium und einen Ansatzpunkt für Annexin A1-Signalwege in der Niere darstellen. Das Annexin A1/FPR2-System könnte daher eine wichtige Rolle in der Kontrolle des Fibroblasten Phänotyp und der Fibroblasten Aktivität spielen und daher einen neuen Ansatz für die anti-fibrotischen pharmakologischen Strategien in der Behandlung des CKD darstellen. / Expansion of the renal tubulointerstitium due to an accumulation of cellular constituents and extracellular matrix is a characteristic feature of chronic kidney disease (CKD) and leads to the progression towards renal failure. Fibroblast proliferation and transformation to the secretory myofibroblast phenotype present key events herein. The signaling process which leads to the generation of myofibroblasts is actively investigated to identify targets for antifibrotic therapeutic strategies. The antiinflammatory protein annexin A1 and its receptor formyl peptide receptor 2 (FPR2) have been implicated in the regulation of fibroblasts from various organs but the expression and function of the two products in renal fibrotic disease have not been elucidated so far. Aim of the present study was therefore to investigate the renal expression of annexin A1 and FPR2 in an animal model of chronic kidney disease and to characterize the role of annexin A1 in the regulation of fibroblast phenotype and synthetic activity. To this end, newborn Sprague-Dawley rats were treated either with vehicle or with an angiotensin II type I receptor antagonist during the first two weeks of their life and kept without further intervention until the age of 11 month (CKD rats). Regulation and localization of annexin A1 and FPR2 were studied using real-time PCR and immunohistochemistry. Annexin A1 and FPR2 expressing cells were further characterized by double labeling immunofluorescence with markers for endothelial cells (rat endothelial cell antigen), macrophages (CD68), fibroblasts (CD73), and myofibroblasts (alpha-smooth muscle actin (α-sma)). Cell culture studies were conducted in immortalized renal cortical fibroblast derived from wildtype and from annexin A1-deficient mice as well as in established cell lines of human and murine renal fibroblasts. Overexpression of annexin A1 was achieved by stable transfection. Expression of annexin A1, α-sma and collagen 1α1 was determined using real-time PCR, Western blotting and immunohistochemistry. Secretion of annexin A1 was studied using trichloroacetic acid protein precipitation of cell culture supernatants and Western blotting. As expected, CKD rats had an overall lower number of nephrons with a marked glomerular hypertrophy. The tubulointerstitial space was expanded due to an accumulation of fibrillar collagens, activated fibroblasts and inflammatory cells. In parallel, mRNA expression for Annexin A1 and transforming growth factor beta (TGF-β) was significantly increased. Double labeling immunofluorescence localization of annexin A1 demonstrated a high abundance in CD73 positive cortical interstitial fibroblasts and in a subset of CD68 immunoreactive macrophages. The abundance in myofibroblasts and renal endothelia was low. FPR2 was found in the majority of renal fibroblasts, myofibroblasts, a subset of macrophages, and in renal endothelial cells. Treatment of cultured murine fibroblasts with the profibrotic cytokine TGF-β resulted in a parallel induction of α-sma-, collagen 1α1- and annexin A1 biosynthesis. In addition, annexin A1 secretion was markedly increased. Overexpression of annexin A1 in murine fibroblasts reduced TGF β-induced α-sma- and collagen 1α1-biosynthesis. Fibroblasts derived from annexin A1-deficient mice showed a strong myofibroblast phenotype with increased expression of both, α-sma-, and collagen 1α1. Application of a peptide antagonist of FPR2 receptor (WRW4) caused a stimulation of α-sma biosynthesis thus suggesting a role of FPR2 in the antifibrotic effects of annexin A1. In conclusion, these results identify renal cortical interstitial fibroblasts as major source and as a target for annexin A1 signalling in the kidney. The annexin A1/FPR2 signalling system may therefore play an important role in the control of fibroblast phenotype and activity and may therefore provide a novel target for antifibrotic pharmacological strategies in the treatment of CKD.

京都大学 / 新制・課程博士 / 博士(医学) / 甲第23760号 / 医博第4806号 / 新制||医||1056(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 平井 豊博, 教授 湊谷 謙司, 教授 森信 暁雄 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Muitas evidências demonstram que o peptídeo liberador de gastrina (GRP) é um fator de crescimento que afeta funções neuroendócrinas, incluindo proliferação e diferenciação celular, comportamento alimentar, formação de memória, respostas a estresses, desenvolvimento de neoplasias, desordens neurológicas e psiquiátricas. Porém, os eventos moleculares pelos quais isso ocorre ainda não são totalmente compreendidos. No presente estudo, nós avaliamos as interações entre o receptor do peptídeo liberador de gastrina (GRPR) e a via de sinalização celular da PKA, tanto na proliferação celular de glioblastoma humano (in vitro) quanto na consolidação da memória no hipocampo de ratos Wistar (in vivo). Mostramos que o GRP age em sinergismo com agentes que estimulam a via do cAMP/PKA, promovendo a proliferação de células de glioblastoma humano, pois o tratamento com GRP combinado com um ativador de adenilil ciclase (AC), forskolin, ou um análogo de cAMP, 8-Br-cAMP, ou um inibidor do tipo IV de fosfodiesterase, rolipram, aumentaram a proliferação das células de U- 138MG, quando avaliadas pelo método de MTT. Nenhum destes compostos teve efeito sozinho. O mRNA de GRPR e a expressão protéica em U-138MG foram detectados pelas técnicas de RT-PCR e imuno-histoquímica. No estudo in vivo a bombesina em baixas doses induziu um aumento na consolidação da memória. O resultado foi potencializado na combinação com um ativador do receptor de dopamina D1/D5 (D1R), além de ser prevenido quando combinado com um inibidor da via da PKA. Os resultados sugerem que GRP e GRPR interagem com a via de sinalização cAMP/PKA tanto na estimulação da proliferação celular em linhagem de câncer humano quanto na modulação da memória no hipocampo de ratos. / Increasing evidence indicates that gastrin-releasing peptide (GRP) acts as an autocrine growth factor for brain tumors as well as been implicated in memory formation, however, underlying molecular events are poorly understood. In the present study, we examined interactions between the GRPR and cellular signaling pathways in influencing memory consolidation in the hippocampus and on proliferation of glioblastoma cell in vitro. We show here that GRP acts synergistically with agents that stimulate the cAMP/PKA pathway to promote proliferation of human gliobastoma cells. Treatment with GRP combined with the adenylyl cyclase (AC) activator forskolin, the cAMP analog 8-Br-cAMP, or the phosphodiesterase type IV (PDE4) inhibitor rolipram increased proliferation of U138-MG cells in vitro measured by MTT assay. None of the compounds had an effect when given alone. GRP receptor (GRPR) mRNA and protein expression in U138-MG cells was detected by reverse transcriptase polymerase chain reaction (RT-PCR) and immunohistochemistry. We investigated the interactions between the GRPR and the PKA pathway in male Wistar rats. BB-induced enhancement of consolidation was potentiated by co infusion of activators of the dopamine D1/D5 receptor (D1R) pathway and prevented by a PKA inhibitor. The results suggest that GRP and the GRPR interact with the cAMP/PKA signaling pathway in stimulating a cancer cell line proliferation and in memory modulation by hippocampal.